FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NEONATOLOGY
PAPER II
NEONAT/J/17/19/II
Time 3 hours
Max. Marks 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Neonatal bilirubin metabolism.
What are the clinical features of acute bilirubin
encephalopathy and steps to prevent this problem?

2. What diagnostic workup will you do for a neonate with
hypocalcemic seizures?
Management of a case of hypocalcemic seizures.
5+5
3. Approach to a case of ambiguous genitalia and its management
strategy.
6+4
4. Approach to a case of:
Neonatal diabetes
Congenital hypothyroidism
5+5
5. Amplitude integrated EEG.
End tidal CO2 monitors
5+5
6. Approach to a case of oligoanuria.
Management of a neonate with acute renal failure
4+6
7. Approach to a neonate with persistent metabolic acidosis.
10
8. Management strategies for retinopathy of prematurity
10
9. A one week old neonate presents in the OPD with inability to
move left lower limb and swelling at the hip joint area. Discuss
the diagnostic approach and management of such a case.
4+6
10. Approach and management of a neonate with icthyosis.
10